Individual
STEPHANIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
206 HICKORY POINTE DR, LEBANON, TN 37087-5009
(937) 554-6730
Mailing address
206 HICKORY POINTE DR, LEBANON, TN 37087-5009
(937) 554-6730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1526
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII131054
OH
101YP2500X
Professional Counselor
Primary
5899
TN
101YP2500X
Professional Counselor
C2103159
OH
Other
Enumeration date
08/24/2017
Last updated
05/30/2024
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